NPIMap

Organization Active NPI

Endless Mountains Counseling Associates

  • Psychologist
  • Friendsville, PA
National Provider Identifier
1194030726
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS004970L Issued in PA
Legal business name
ENDLESS MOUNTAINS COUNSELING ASSOCIATES
Practice address
27241 State Route 267
Friendsville, PA 18818-8640
Phone
(570) 553-2078
NPI assigned
Aug 6, 2010
Organization subpart
Yes
Parent organization
ENDLESS MOUNTAINS COUNSELING ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Roger SmothersNPI 1477518876
Title
M.S.
Phone
(570) 553-2078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS004970L PA Primary

Addresses

Primary practice location

27241 State Route 267
Friendsville, PA 18818-8640

Mailing address

27241 State Route 267
Friendsville, PA 18818-8640

National Provider Directory

National Provider Directory
Part of
Endless Mountains Counseling Associates

Locations

27241 State Route 267
Friendsville, PA 18818
Phone (570) 553-2078

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1194030726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27241 STATE ROUTE 267",
            "city": "FRIENDSVILLE",
            "state": "PA",
            "postal_code": "188188640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27241 STATE ROUTE 267",
            "city": "FRIENDSVILLE",
            "state": "PA",
            "postal_code": "188188640",
            "telephone_number": "570-553-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDLESS MOUNTAINS COUNSELING ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENDLESS MOUNTAINS COUNSELING ASSOCIATES",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "SMOTHERS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "M.S.",
        "authorized_official_telephone_number": "570-553-2078",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS004970L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.